Piperacillin/tazobactam‐induced neurotoxicity in a hemodialysis patient: A case report

Antibiotics are potentially a cause of neurotoxicity in dialysis patients, the most common are the beta‐lactams as ceftazidime and cefepime, and few cases have been reported after piperacillin/tazobactam use. This report presents a case of a hypertensive and diabetic 67‐year‐old woman in regular hemodialysis, which previously had a stroke. She was hospitalized presenting pneumonia, which was initially treated with cefepime. Two days after treatment, she presented dysarthria, left hemiparesis, ataxia, and IX and X cranial nerves paresis. Computed tomography showed no acute lesions and cefepime neurotoxicity was hypothesized, and the antibiotic was replaced by piperacillin/tazobactam. The neurologic signs disappeared; however, 4 days after with piperacillin/tazobactam treatment, the neurological manifestations returned. A new computed tomography showed no new lesions, and the second antibiotic regimen withdrawn. After two hemodialysis sessions, the patient completely recovered from neurological manifestations. The patient presented sequentially neurotoxicity caused by two beta‐lactams antibiotics. This report meant to alert clinicians that these antibiotics have dangerous neurological effects in chronic kidney disease patients.     

Optimization techniques for curved path computing

Participating media with an inhomogeneous index of refraction make light follow curved paths. Simulating this in a global illumination environment has usually been neglected due to the complexity of the calculations involved, sacrificing accurate physical simulations for efficient visual results. This paper aims to simulate non-linear media in a more reasonable time than previous works without losing physical correctness. Accuracy is achieved by solving the Eikonal equation of geometrical optics, which describes the path followed by a light beam that traverses a non-linear medium. This equation is used in the context of a photon mapping extension.     

Homogeneous Catalyzed Ozone Decomposition in the Presence of Co(II).

The homogeneous decomposition of ozone in the presence of a Co(II) catalyst has been investigated in aqueous solution. Under the conditions investigated (Co(II) concentration: 0.0 – 2.0?ppm, pH: 1.6- 8.4, O₃ concentration: 5 10^?5 – 2.0 10⁴?M) the process can be assumed to follow pseudo first order kinetics with respect to ozone. Cobalt concentration dependency also obeys first order kinetics although it may be considered to reach a steady state concentration. pH exerts a positive influence on the decomposition rate from 1.6 to 7.1, the process leveling off at pH 8.4. An Arrhenius analysis of the temperature effect gave a moderate activation energy of the global reaction (E=10917?cal mol^?1). A more detailed radical mechanism than a simple pseudo first order reaction can be postulated for simulation purposes. By numerical optimization of some unknown kinetic constants the influence of several operating variables can be adequately predicted.     

Whole-body vibration exposure in sport: four relevant cases

This study investigates the whole-body vibration exposure in kite surfing, alpine skiing, snowboarding and cycling. The vibration exposure was experimentally evaluated following the ISO 2631 guidelines. Results evidenced that the most critical axis is the vertical one. The weighted vibration levels are always larger than 2.5 m/s² and the vibration dose values are larger than 25 m/s^1.75. The exposure limit values of the EU directive are reached after 8–37 min depending on the sport. The vibration magnitude is influenced by the athletes’ speed, by their skill level and sometimes by the equipment. The large vibration values suggest that the practice of sport activities may be a confounding factor in the aetiology of vibration-related diseases.     

Learning Temperature Dynamics on Agar-Based Phantom Tissue Surface During Single Point CO $$_2$$ 2 Laser Exposure

Neural Processing Letters - This paper presents an approach to determine a model of superficial tissue temperature dynamics during continuous wave CO $$_2$$ laser irradiation. The main contribution...     

NodeWiz: Fault-tolerant grid information service

Large scale grid computing systems may provide multitudinous services, from different providers, whose quality of service will vary. Moreover, services are deployed and undeployed in the grid with no central coordination. Thus, to find out the most suitable service to fulfill their needs, or to find the most suitable set of resources on which to deploy their services, grid users must resort to a Grid Information Service (GIS). This service allows users to submit rich queries that are normally composed of multiple attributes and range operations. The ability to efficiently execute complex searches in a scalable and reliable way is a key challenge for current GIS designs. Scalability issues are normally dealt with by using peer-to-peer technologies. However, the more reliable peer-to-peer approaches do not cater for rich queries in a natural way. On the other hand, approaches that can easily support these rich queries are less robust in the presence of failures. In this paper we present the design of NodeWiz, a GIS that allows multi-attribute range queries to be performed efficiently in a distributed manner, while maintaining load balance and resilience to failures.     

Modelling Industrial Wastewater Ozonation In Bubble Contactors. 1. Rate Coefficient Determination

A study of the ozonation of distillery and tomato wastewaters was carried out in a small bubble contactor in order to obtain kinetic data for scaling-up. Thus, several parameters, such as chemical oxygen demand (COD), 254 nm absorbance (A₂₅₄) and organic carbon content (OC), were followed during ozonation at different experimental conditions.

For distillery wastewaters all parameters investigated have the highest decreases during the first minutes of ozonation, A₂₅₄ showing the highest disappearance rates. Thus, during the first fifteen minutes of ozonation an important decrease of the 254 nm absorbance (? 75%) was observed. At further reaction times values of all parameters studied decrease slowly, eventually reaching a plateau value. During approximately the first two hours of reaction, dissolved ozone was never found, which suggested that fast or moderate gas-liquid reactions took place in the wastewaters.